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First Name*
Last Name*
Company Name*
Email Address*
Phone Number*
Zip or Postal Code*
Country*Please Select...United StatesCanadaOther
Product Interest*Please Select...Debit and Credit Card ProcessingMobile PaymentsCash AdvanceCheck and ACH ProcessingGift Card & Loyalty ProgramSage Business Prepaid VISASage ExchangeSage International PaymentsVirtual TerminalPayment Processing Integration
How do you receive the majority of your payments?*Please Select...In Person - at storefront locationIn Person - at varying locationsMobileTelephone, Fax or MailThrough a Website
Est. monthly processing volume*Please Select...Under $1000$1,000 - $4,999$5,000 - $9,999$10,000 - $24,999$25,000 - $99,999$100,000 - $249,999$250,000 - $499,999$500,000+
Which of the following products do you currently use?Please Select...I do not currently have a Sage Payments product/serviceSage Payment SolutionsSage 50 Accounting—Canadian Edition (formerly Sage Simply Accounting)Sage 50 Accounting—U.S. Edition (formerly Sage Peachtree)Sage 100 ERP (formerly Sage ERP MAS 90 and 200)Sage 100 Fund Accounting (formerly Sage Fund Accounting)Sage 300 Construction and Real Estate (formerly Sage Timberline Office)Sage 100 Contractor (formerly Sage Master Builder)Sage 300 ERP (formerly Sage ERP Accpac)Sage 300 Trade Specialty (formerly Sage Timberline Enterprise)Sage 500 ERP (formerly Sage ERP MAS 500)Sage BusinessVision AccountingSage BusinessWorks AccountingSage OneSage Construction AnywhereSage CRMSage DacEasySage ERP X3Sage Estimating (formerly Sage Timberline Estimating)Sage Fixed Assets (formerly Sage FAS Fixed Assets)Sage Fundraising 50Sage Grant ManagementSage HRMS (formerly Sage Abra HRMS)Sage MillenniumSage PFW ERPSage Pro ERPSage SourceSage Timeslips
What type of payments do you accept today?Credit Card and Debit ACHChecksGift Cards Cash OnlyMobile
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